Sagging in my lower mouth area. I have tried fillers, but they didn’t help. Would a mini lift be appropriate? (34F) (Photo)

Question

Hello! My family is genetics predisposed to having a bit of sagging in the lower mouth/lower cheek area. I have tried fillers, but it didn’t not seem to correct the issue. In my 20’s, I definitely had more chipmunk cheeks and feel really wane and saggy now. I am also underweight at 104lbs. Would a mini lift be appropriate for me at 34?

Robert M. Wald, Jr., MD · Answer

I would not recommend a mini lift at your age. Fillers are best to treat this area and would suggest another opinion. Other than fillers, direct excision can help but you would be left with a scar. My best recommendation is to consider another try at a filler and consider a laser therapy to tighten the skin.

Gianfranco Frojo, MD · Answer

Without a doubt, the most effective way to lift the lower mouth/cheek area would be a deep plane facelift/necklift. The best way to "lift" is by literally pulling and lifting the tissues. This is best achieved with a facelift/necklift to define the cheek, lift the corner of the mouth, and tighten the perioral area. I would recommend finding an American Board of Plastic Surgery certified plastic surgeon, particularly one with experience in facial surgery.

Gurkan Kayabasoglu, MD · Answer

I suggest mid face lift op strongly. The region on photos you showed, mid face region. And its lack of volume. With mid face lift we can solve this problem. Besides you can get more fresh looking.

Please contact us for more detailed information and consultation.

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John Michael Thomassen, MD · Answer

This area of the face is best treated with facelift procedures.  You are young for this procedure but fillers usually are not satisfactory in this area.  A mini lift with a short scar hidden in the contours of the ear can be hard to see and provide the best correction in this area.

Ajaya Kashyap, MD · Answer

Thank you for your query. You can certainly have a mini facelift to improve the lower cheek and mouth area. You will also benefit from  some autologous fat grafting after a non surgical face tightening , with radio frequency ( ThermiTight) or HIFU. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Ronald J. Edelson, MD · Answer

It would be unusual to do a facelift at your age but an in person exam is really needed to be able to know for sure. There are certainly surgeons who would perform  a facelift on you if you wished

Bruce B. Kadz, MD, FACS · Answer

I believe you are too you for a facelift. Fillers and/or Morphepus8 or tightening lasers would be your best option for now.

Connie Hiers, MD, FACS · Answer

No, please do not do a lift at your age. You would benefit with micro-needling with radiofrequency and Sculptra injections for some added volume. Sculptra can also be delivered with micro-needling.

Darryl J. Blinski, MD · Answer

Based on your posted, photos With you understanding, the mini facelift is an option with some muscle tightening. Fee $5000-$10,000. Best virtual consult with.

Sagging in my lower mouth area. I have tried fillers, but they didn’t help. Would a mini lift be appropriate? (34F) (Photo)

Answers (9)

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